Kenneth W Smith Pt
NPI #1255527636 in Prineville, Oregon
Provider Information
- NPI Number
- 1255527636
- Entity Type
- Organization
- Organization Name
- Kenneth W Smith Pt
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 19, 2007
- Last Updated
- Oct 10, 2007
Practice Location
- Address
- 1251 NE ELM ST STE 2A
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-3143
- Phone
- (541) 447-6846
Authorized Official
- Name
- MR. KENNETH W SMITH, P.T.
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (541) 447-6846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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